OrganizationActive
Self Realization, LLC
NPI 1487982880 · Health Service Psychologist · Middletown, DE
Provider details
- NPI number
- 1487982880
- Entity type
- Organization
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Earl Walker, Executive Director
- License
- B10000757 (DE)
Practice location
102 Sleepy Hollow Dr
Ste 200
Middletown, DE 19709-5841
Phone: (302) 312-8221
Mailing address
9 Morning Dew Dr
Middletown, DE 19709-2419
Registry dates
- Enumerated
- 2009-11-23
- Last updated
- 2010-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.